http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
骨髓腔內金屬釘 內固定術에 의한 成人大腿骨幹骨折의 臨床的 硏究
李甲燁 충남대학교 의과대학 지역사회의학연구소 1978 충남의대잡지 Vol.5 No.2
Recently, the rate of car accidents and industrial injuries are increased growing up of industrial progression. In car accidents and industrial injuries, the fracture of femoral shaft is a common injury. Author analysed 76 cases of fractures of the femoral shaft which were treated at Chungnam National University Hospital, during 5 years from August 1972 to August 1977, by operative or conservative treatment. The 17 cases out of 76 had treated in conservative method such as skeletal traction and hip spica cast. The 38 cases out of 76 had treated with intramedullary nailing only. Remaining 21 caces were treated with intramedullary nailing and hip spica cast due to unstable fixation of intramedullary nails. The results of this study were as followings: 1. Most of fractures ocurred in person who are in their third and fourth decades. Male are prominent(71. 2%). 2. Causes were mainly traffic accidents. 3. Comminuted fractures(55. 2%) and closed fractures(88. 1%) were the most common type, middle third of the femur was most prevalent location of the fracture site. 4. After injury, cases of admission within 24 hours were 90%. 5. The common associated injuries were fractures of tibia and fibula, injuries of pelvic bone and genitourinary system in order of frequency 6. The period of bony union was 16. 7 weeks with intramedullary nailing only : 18. 2 weeks with intramedullary nailing and hip spica cast : 21. 0 weeks with skeletal traction and hip spica cast. 7. In the early and delayed operation groups, overall result of bony union rate was better in the delayed operation group than the early operation. In the group treated by delayed operation, the incidence of primary union was 89.1% and of delayed union 10.9% and of non-union was not present. In the early operation group, primary union was 72.3% and delayed union 23.3% and non-union was 4%. 8. Cases treated by a operation, postoperative infection rate was 1.7%. 9. The best results were obtained with intramedullary nailing fixation only. There are no significant difference in result of treatments between the conservative method and intramedullary nailing with hip spica cast.